Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01149 | Date 11/03/2020 |
| Token No | SM/22-23/5830 02/01/2023 | Serial | 011 |
| Patient Name | Mrs. SUNITA RAJBHAR | Contact No | 9748386793 |
| Address | 117 NEW MAHESH SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||